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[Optic disk drusen and intracranial tumor].
L Bella1, M Faivre, V Mercier-Tacheix
1Clinique Ophtalmologique, CHU Tours.
Bulletin Des Societes D'Ophtalmologie De France
|June 1, 1990
Summary
Lindau disease can cause optic disc swelling and hemorrhage, mimicking intracranial hypertension. Advanced imaging confirmed optic disc drusen as the cause in this patient.
Area of Science:
- Ophthalmology
- Neurology
- Medical Imaging
Background:
- Lindau disease, a rare genetic disorder, is associated with various neurological and ophthalmological manifestations.
- Optic disc swelling and peripapillary hemorrhage are concerning signs that can indicate serious underlying conditions, including increased intracranial pressure.
Observation:
- A 51-year-old woman with known Lindau disease presented with bilateral optic disc swelling and peripapillary hemorrhage.
- Initial suspicion focused on intracranial hypertension due to the observed optic disc abnormalities.
Findings:
- Ophthalmic examinations including perimetry, echography, and fluorescein fundus angiography were performed.
- These diagnostic modalities conclusively revealed the presence of optic disc drusen as the cause of the observed symptoms.
Implications:
- This case highlights the importance of considering optic disc drusen in patients with Lindau disease presenting with optic disc abnormalities.
- Accurate diagnosis through comprehensive ophthalmic imaging is crucial to differentiate drusen from other causes of optic disc swelling and to guide appropriate management.
- Understanding the spectrum of Lindau disease complications is essential for comprehensive patient care.